Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.95 / $1,128.95 / $1,128.95	Facility		$1,128.95	$1,128.95	$1,128.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.66 / $1,148.82 / $1,432.43	Professional		$1,083.66	$1,148.82	$1,432.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,622.43 / $2,885.79 / $3,607.23	Professional		$2,622.43	$2,885.79	$3,607.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,549.63 / $1,907.93 / $3,362.63	Facility		$1,549.63	$1,907.93	$3,362.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,466.21 / $2,443.67 / $9,925.36	Professional		$1,466.21	$2,443.67	$9,925.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,839.02 / $3,003.22 / $3,101.91	Facility		$1,839.02	$3,003.22	$3,101.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,914.79 / $2,370.76 / $3,003.22	Professional		$1,914.79	$2,370.76	$3,003.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,614.54 / $2,241.05 / $2,697.57	Professional		$1,614.54	$2,241.05	$2,697.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,221.83 / $2,227.12 / $2,786.16	Professional		$1,221.83	$2,227.12	$2,786.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,736.80 / $2,043.30 / $2,125.00	Professional		$1,736.80	$2,043.30	$2,125.00